I had a Telehealth video meeting with a Radio Oncologist yesterday at the suggestion from my Oncologist. What I learnt from the RO, was that chemo is used primarily to kill the microscopic cancer cells which are moving around my body. This hopefully will prevent other tumours from forming in other organs and structures. Whereas Radiation treatment is used to kill the known cancer tumours. For me that's in my Prostrate, Bladder and Pelvis.
The realisation for me is that ADT and chemotherapy were never likely going to kill the existing tumours and that Radiation should have been discussed with me as a recommended part of my overall treatment plan. Probably a discussion on the Stampede trial would have been appropriate. Not as an option off handily thrown at me as, "you could try radio therapy if you like" by the Oncologist when the PSMA PET scan results revealed the Chemo and ADT had only shrunk the tumours by a little over half.
As has been discussed on this forum in other posts, we need to keep ourselves informed on our treatment options and engage with our specialists about those options. My APCa journey has only been going now for eight months and thanks to this forum, I have learnt a lot and this has benefited me greatly.
One thing for me is clear. My Oncologist thought the Chemo and ADT would be all I would need to beat this beast. And while it smashed my PSA, 50 at Dx in Dec 2019 now down to 0.05, it has not killed the existing tumours. Oncologists like drugs, Radio Oncologists like radiation and Urologists like surgery, it's up to us to bring them all together to manage our own health treatment plans. We are in effect our own Project Managers.
Keep up the fight, 😎DD.